1On Requisition Form: Please clearly print your Name, Date of Birth, Gender, & Collection Date.
2Also include Physician’s Name & tests requested.
3The following might cause sample rejection:
aMissing or incomplete information
bNicknames or abbreviated names
cMismatch in information between Requisition Form & Collection Strip
1Avoid collection during menstruation or urinary tract infection.
2Avoid excessive fluid intake the evening prior to urine collection. An overly dilute urine specimen may be rejected.
3Supplements and medications may impact results. Please consult with your healthcare provider.
4Keep out of reach of children.
1Preservatives that need to be avoided for 48 hours before collection include:
aSorbic Acid/Sorbate (preservative) (E200-203)
bBenzoic Acid/Sodium Benzoate (preservative) (E 210-213)
1Beverages: Tea, Coffee, Alcoholic Beverages, Juice
2Vegetables/Fruits: Avocado, Kiwi, Tomato, Pineapple, Banana, Plantain, Grapes/ Raisins, Plums/Prunes, Seed/Nuts, Walnut, Pecan
3Others: Ketchup, Vanilla Extract, Jell-O™, Aged and Processed Cheeses